Jamal Samih Ksar, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME106342 Issued in FL

Practice address

8791 Conference Dr
Suite 1
Fort Myers, FL 33919-5822

Phone

(239) 938-3506

NPI assigned

May 24, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in FL, GA, ID3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Diagnostic Radiology

Education

University of Michigan Medical School, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Sunshine Radiology Contracting LLCGroup PAC ID 0941771307, 9 clinicians

Summit Imaging Services LLCGroup PAC ID 9436597945, 71 clinicians

Florida Radiology Consultants P aGroup PAC ID 3678471943, 70 clinicians

Florida Radiology Leasing LLCGroup PAC ID 1759327356, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
• Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
• Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
• Minidoka Memorial Hospital Hospital, Rupert, ID, CCN 131319
• Franklin County Medical Center Hospital, Preston, ID, CCN 131322

Merit-based Incentive Payment System (MIPS)

Final score

75.5 of 100Reported as group

Quality

80

Improvement activities

20

Merit-based Incentive Payment System (MIPS)

Final score

93.94 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Florida Radiology Consultants P a

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1518911668
  Medicare reassignment Care Compare group NPD Authorized official
• Sunshine Radiology Contracting LLC

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1578423406
  Medicare reassignment Care Compare group NPD Authorized official
• Florida Radiology Leasing LLC

  • Diagnostic Radiology Physician
  • Fort Myers, FL
  • NPI 1518907823
  Medicare reassignment Care Compare group NPD
• Summit Imaging Services LLC

  • Diagnostic Radiology Physician
  • Cartersville, GA
  • NPI 1134984982

  FL

  Medicare reassignment Care Compare group NPD
• Florida Neurology Group P L

  • Neurology Physician
  • Fort Myers, FL
  • NPI 1962497669
  Medicare reassignment NPD
• Lee Health System Inc

  • Internal Medicine Physician
  • Fort Myers, FL
  • NPI 1942058557
  Medicare reassignment NPD
• North Canyon Medical Center Inc.

  • Critical Access Hospital
  • Gooding, ID
  • NPI 1609046671
  Medicare reassignment
• Lee Health System Inc

  • Community/Retail Pharmacy
  • Bonita Springs, FL
  • NPI 1699510925
  NPD
• GTR Teleradiology LLC

  • Diagnostic Radiology Physician
  • Scotch Plains, NJ
  • NPI 1164382990
  NPD
• Pro Rad, Inc

  • Diagnostic Radiology Physician
  • Bryan, OH
  • NPI 1962470484
  NPD (past)
• Schuylkill Open MRI Inc

  • Radiology Clinic/Center
  • Pottsville, PA
  • NPI 1285630293
  NPD (past)
• Summit Radiology Services P C

  • Diagnostic Radiology Physician
  • Cartersville, GA
  • NPI 1174572374
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1366281750
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Fort Myers, FL
  • NPI 1427806025
  Care Compare affiliation
• Lee Health System Inc

  • General Acute Care Hospital
  • Cape Coral, FL
  • NPI 1780429076
  Care Compare affiliation
• Franklin County Medical Center

  • Critical Access Hospital
  • Preston, ID
  • NPI 1548355811
  Care Compare affiliation
• Minidoka Memorial Hospital

  • Critical Access Hospital
  • Rupert, ID
  • NPI 1679553531
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397001600000",
    "number": "1801007646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8791 CONFERENCE DR",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195822",
            "telephone_number": "239-938-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8791 CONFERENCE DR",
            "address_2": "SUITE 1",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195822",
            "telephone_number": "239-938-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KSAR",
        "first_name": "JAMAL",
        "middle_name": "SAMIH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME106342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSFL",
            "identifier": "1490T",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00886227",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002442200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Norman Kruedelbach, PHD
• Loren Krumbholz, CRNA
• Antoinette Kruse, MSW
• Krushen Inc
• Krysalis
• Subhash Kshetrapal, M.D.
• Jacquelynn Marie Kubay, ARNP,NP-C
• Kuhn Family Chiropractic LLC
• Alexander Kuhn, D.C.
• Michael William Kuhn, D.O.

• Diagnostic Radiology Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.